Mecanismos cirúrgicos de controle do diabetes mellitus tipo 2 após cirurgia bariátrica
AUTOR(ES)
Martins, Marcus Vinicius Dantas de Campos, Souza, Antônio Augusto Peixoto de
FONTE
Revista do Colégio Brasileiro de Cirurgiões
DATA DE PUBLICAÇÃO
2007-10
RESUMO
Type 2 diabetes mellitus is an epidemic health problem. Approximately, 90% of diabetic patients are overweight or are obese. The current increase in the prevalence of obesity has been associated with an increase in the prevalence of type 2 diabetes. Bariatric surgery is the most effective treatment for morbid obese patients in terms of controlling weight and co-morbidities. Sustained normal plasma concentration of glucose has been reported in most diabetic morbid obese patients, which has been managed surgically. Available data show a significant alteration in the production of some gastrointestinal hormones, which might explain the improvement of glucose metabolism following these procedures. Diabetic patient improvements following some bariatric surgeries seems to be an independent factor unrelated to the amount of weight loss. The authors reviewed data published on the effects of bariatric surgery in diabetic patient improvements and the possible mechanisms responsible for this control.
Documentos Relacionados
- Cirurgia bariátrica e metabólica e complicações microvasculares do diabetes mellitus tipo 2 (DM2)
- Avaliação da perda ponderal e perfil metabólico pós-cirurgia bariátrica em pacientes obesos portadores de diabetes mellitus tipo 2 versus não diabéticos
- Cirurgia bariátrica: uma comunicação da IDF sobre o diabetes tipo 2 em obesos
- Prevenção do diabetes mellitus tipo 2
- Efetividade da cirurgia bariátrica, com ênfase na técnica sleeve gástrico, para o controle ou reversão do diabetes mellitus tipo 2: revisão sistemática